维生素D与骨科手术的当前概念
Current concepts in vitamin D and orthopaedic surgery.
作者信息
Moon Andrew S, Boudreau Sellers, Mussell Eric, He Jun Kit, Brabston Eugene W, Ponce Brent A, Momaya Amit M
机构信息
Tufts University School of Medicine, Boston, MA, USA; Department of Orthopaedics, The University of Alabama at Birmingham, 951 18th St. S, 35205 Birmingham, AL, USA.
Department of Orthopaedics, The University of Alabama at Birmingham, 951 18th St. S, 35205 Birmingham, AL, USA.
出版信息
Orthop Traumatol Surg Res. 2019 Apr;105(2):375-382. doi: 10.1016/j.otsr.2018.12.006. Epub 2019 Mar 8.
INTRODUCTION
Vitamin D plays an important role in the musculoskeletal system of the human body. Here, we review the most current literature on vitamin D as it relates to orthopaedic surgery and the musculoskeletal system, focusing largely on non-fracture applications.
MATERIALS AND METHODS
A literature review was performed on the basic science of vitamin D metabolism, epidemiology of vitamin D levels, role of vitamin D within the musculoskeletal system, and the correlation of vitamin D with injuries and orthopaedic surgical outcomes.
RESULTS
The existing literature suggests vitamin D plays multiple roles in the musculoskeletal system. Recent research has shed light on the importance of vitamin D in the setting of soft tissue healing and recovery in addition to affecting postoperative outcomes after common orthopaedic procedures.
CONCLUSIONS
Given the widespread prevalence of vitamin D deficiency, orthopaedic surgeons should be aware of the current evidence regarding clinical implications in patients with musculoskeletal complaints.
引言
维生素D在人体肌肉骨骼系统中发挥着重要作用。在此，我们回顾了关于维生素D与骨科手术及肌肉骨骼系统相关的最新文献，主要聚焦于非骨折应用。
材料与方法
对维生素D代谢的基础科学、维生素D水平的流行病学、维生素D在肌肉骨骼系统中的作用以及维生素D与损伤和骨科手术结果的相关性进行了文献综述。
结果
现有文献表明维生素D在肌肉骨骼系统中发挥多种作用。最近的研究除了揭示维生素D在常见骨科手术后影响术后结果外，还阐明了其在软组织愈合和恢复方面的重要性。
结论
鉴于维生素D缺乏的普遍存在，骨科医生应了解当前关于肌肉骨骼疾病患者临床意义的证据。
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